Uye wakhula ubuhlungu bendondo , futhi unzima ukuhamba nokukhuphuka izitebhisi ngaphandle kokubuhlungu. Uvakashela udokotela wakho, kanti i-MRI yenziwa ekhombisa ukuthi i- meniscus idolo . Kunconywa ukuhlinzwa. Kubonakala kunengqondo, kodwa kudingekile ngempela?
Ucwaningo lwakamuva lubonisa ukuthi ukwelashwa kwemithi kungenza umphumela ofanayo nokuhlinzekwa kwe-meniscus ephukile emadolweni akho.
I-Meniscus
I-meniscus-noma i-meniscii lapho ukhuluma ngayo ngobuningi-isakhiwo esincane sezinqamuzana emadolweni akho. Unezinyawo ezimbili emadolweni ngalinye, enye engxenyeni yangaphakathi yesibambisene futhi enye engaphandle. La maniscii enza njengama-absorption amancane emadolweni akho; bayasiza ukuthola umthelela ngokusebenzisa idolo lakho elihlangene. I-meniscus nayo isiza ukuvumela idolo lakho liguqe futhi lilayishe ngendlela efanele njengoba ligoba iqonde.
Ngezinye izikhathi ukugxuma nokufika endaweni engafaneleki noma ukuguqa ngamadolo akho ngezinyawo zakho ezitshalwe phansi kungacasula i-meniscus yakho. I-meniscus ingaba yinhlanhla noma idwengulwe. Ngezinye izikhathi, ukugqoka nokuphuka kwezimo ezinzima ezifana ne-arthritis kungabangela i-meniscus izinyembezi emadolweni akho. Uma lokhu kwenzeka, ubuhlungu emadolweni akho bungaba nomphumela. Amadolo akho ahlangene angase avuvuke, futhi angabamba noma akhiye lapho ehamba ezindaweni ezithile. Lokhu kungabangela ukulahlekelwa okukhulu kokuhamba.
Izimpawu ze-meniscus izinyembezi emadolweni akho zingabandakanya:
- Ubuhlungu obukhulu
- Ukuvuvukala kwe-Knee
- Ukukhiya ibhokisi lakho elihlangene
- Ukulahlekelwa kokuhamba kwamadolo (ROM)
- Ukunciphisa amandla ku- quadriceps yakho noma izintambo kanye nemisipha emadolweni akho
- Kunzima ukuphakama ukuhlala, ukuhamba nokugijima, noma ukukhuphuka nokukhuphuka izitebhisi
Uma unayo yalezi zimpawu, hlola nodokotela wakho ngokushesha. Udokotela wakho angalawula ukuhlolwa okukhethekile kwamadolo akho, futhi angase ancoma ukuthi ubone umhlinzeki wezitho zomzimba we-meniscus yakho ephukile.
Ukwelashwa Kwemvelo Nenhlangano Ephuliwe
Uma une-meniscus ephukile, udokotela wakho angakunikeza ekuphatheni okwenyama. Ungase futhi ukwazi ukubona i- PT ngokufinyelela okuqondile ngaphandle kokudluliselwa kukadokotela. Isivivinyo sakho somzimba wokwelashwa kufanele sibe ngumuntu ngezidingo zakho ezithile, nakuba kunezinye imigomo ejwayelekile uma ulungisa i-meniscus izinyembezi.
Izinhloso zokwelapha ngokomzimba we-meniscus ephukile ngokuvamile zihlanganisa:
- Thuthukisa iROM ngamadolo
- Thuthukisa amandla emisipha yakho emadolweni akho
- Nciphisa ukuvuvukala kwedolo
- Nciphisa ubuhlungu bomdolo
- Thuthukisa ukuhamba komsebenzi wamadolo akho kanye nomkhawulo wonke ophansi
- Funda amasu okuvimbela izinkinga zamadolo ezizayo
Ingabe Wonke Umuntu Onenhliziyo Ephuliwe Ayidingi Ukuhlinzwa?
Nansi into ehlekisayo mayelana ne-meniscus izinyembezi emadolweni akho: abantu abaningi banabo futhi abanaso ubuhlungu . Ucwaningo lubonisa ukuthi abantu abaningi abanamahlombe emadolo futhi kungekho ukulahlekelwa okusebenzayo emadolweni abo banesisindo sokuqothula imifanekiso ye-MRI. Ingabe lezi ziguli zidinga ukuhlinzwa? Cishe cha. Udokotela wakho ngeke, noma akufanele, enze ukwelashwa isiguli esingenakho ukulahlekelwa umsebenzi, ubuhlungu, nokulahlekelwa amandla noma ukunyakaza.
Izithombe ku-MRI zingaba nzima ukubona, futhi ngezinye izikhathi lezi zithombe azitsheli indaba yonke. Impela, imiphumela ye-MRI ingaba usizo ekuqondiseni izinqumo zakho emva kokulimala kwamadolo, kodwa i-MRI kufanele ibe ingxenye eyodwa nje encane yokunakekelwa kwakho. Ukuhlolwa kwakho kwemitholampilo kanye nobuhlungu bakho kanye nomsebenzi wakho wegciwane nakho kuyaguquka okubalulekile uma ukhetha ukuhlinzwa noma kungenayo i-meniscus yakho ephukile.
Uma une-meniscus ephukile, idolo lakho lingase lihambe kahle, futhi lingase libuhlungu futhi livuvuke. Kodwa lezi zimpawu zingase zibe zesikhashana, futhi zingase zibe ngcono ngezokwelapha.
Ucwaningo: Therapy Physical Vs. Ukuhlinzwa kwe-Meniscus ephuliwe
Ingabe ukuhlinzwa kudingekile ngempela ukuba i-meniscus ephukile emadolweni akho? Mhlawumbe hhayi, futhi yilapho: ucwaningo lubonisa ukuthi umphumela wesikhathi eside wokuhlinzwa ngokuhambisana nokwelapha ngokomzimba we-meniscus izinyembezi kungabangela imiphumela efanayo kwezinye iziguli.
Ucwaningo olunyatheliswa eNew England Journal of Medicine luhlolisise umphumela wendlela yokwelapha ngokomzimba ngokuhlinzekwa nokuhlinzwa kanye ne-post-operative PT kubantu abane- knee osteoarthritis (OA) nge-meniscus izinyembezi. Lolu cwaningo lwaluhlanganisa iziguli ezingama-351 ezine-knee OA kanye ne-meniscus izinyembezi. Isiguli ngasinye sasikhethiwe ngokukhethwa ukuba sibe nokuhlinzwa kwasemadolweni ngamadolo okulandelwa yi-rehab noma ukuya emitholampilo ongokwenyama ngaphandle kokuhlinzwa. Ukuhlinzwa okwenziwe kwakuyi-meniscectomy yama-knee eyingxenye, inqubo evamile yokuhlinzwa eyayisetshenziselwa ukulungisa i-meniscus ephukile.
Iziguli zavunyelwa ukuwela ngaphasi kweqembu ngalinye; labo abaseqenjini lokuhlinza bangakhetha ukungahlinzeki, futhi labo abaseqembu le-PT kuphela bangakhetha ukuhlinzwa ukuguqa ngamadolo uma bekwaziswa udokotela wabo.
Imiphumela eyinhloko yocwaningo yathola eNew Ontario naseMcMasters University Osteoarthritis Index (WOMAC), ukuhlolwa kwamadolo. Iziqu eziphakeme ku-WOMAC zilingana nezimpawu ezimbi kakhulu zamadolo. Izibalo zitholakale ekuqaleni kocwaningo futhi emva kwezinyanga ezingu-3, 6, nezinyanga ezingu-12. Lokhu kwenziwa ukuze uthole ulwazi lwesikhathi eside mayelana nokusebenza kwamadolo.
Imiphumela yocwaningo ibonisa ukuthi kwakungekho umehluko ophawulekayo ekusebenzeni kwamadolo ezinyangeni ezingu-6 ngemuva kokungahleliwe kunoma yiliphi iqembu lokuhlinza noma iqembu lokwelapha ngokomzimba. Ukufa okukwenziwe eqenjini ngalinye-isiguli esisodwa esigabeni sokuhlinza sasine-pulmonary embolism esasibulalayo, kanti isiguli esisodwa seqembu lePP sasilimala kakhulu.
Kumele kuqashelwe ukuthi amaphesenti angu-30 weziguli ekuqaleni ezabeliswa iqembu lezokwelapha eziwela eqenjini lokuhlinzeka, kanti amaphesenti angu-5 alabo abahlelwe ukuba bahlinzekwe banquma ukuthuthela eqenjini lokwelapha. Lokhu kuvumelana nokuqhubeka kwemvelo kokunakekelwa-uma uqala ukwelapha ngokomzimba we-meniscus ephukile futhi ubuhlungu bakho buyaqhubeka, ungakwazi njalo ukukhethwa ukuba uhlinzekwe. Kuyindlela emgwaqweni owodwa, noma kunjalo; awukwazi ukuhlehlisa ukuhlinzwa kwakho kwedolo uma sekuqedile.
Ngezansi: ucwaningo lubonisa ukuthi ungaba nomphumela omuhle ngezokwelapha ngokomzimba we-meniscus ephukile, futhi ukuhlinzwa kungakusiza uma kudingeka.
Sebenzisana ne-PT yakho kanye nodokotela ukuze wenze ukhetho olufanele emakhaleni akho
Ngakho wazi kanjani ukuthi udinga ukuhlinzekwa nge-meniscus yakho ephukile noma uma uzothola usizo lwezokwelapha? Kungaba yisinqumo esinzima sokwenza, ngakho-ke uma unamahlombe emadolo avela ku-OA kanye ne-meniscus ephukile, sebenze eduze nodokotela wakho ukwenza isinqumo esingcono kakhulu sokuthi noma ungahlinzwa yini noma cha. Kungaba usizo ukuqonda ukuthi abantu abaningi abanezinyembezi zezinyembezi banomphumela ophumelelayo wokugwema ukuhlinzwa nokusebenza nodokotela wezinto eziphilayo. Uma izinto zingathuthuki kahle ngendlela yokwelapha, ungakwazi njalo ukhethe ukuhlinzwa kokuguqa uma udunyiswa udokotela wakho.
Uyazi kanjani ukuthi sekuyisikhathi sokuyeka ukwelashwa ngokomzimba futhi ucabange ukuhlinzwa? Kukhona ezinye izimpawu nezimpawu ezingase zibonise isidingo sokuhlinzwa, kubandakanya:
- Ukubuhlungu kwamadolo okuqhubekayo okuhlala ngemva kwamaviki amathathu kuya kwangu-4 e-rehab
- Ukulahlekelwa kokuhamba kwamadolo okungabuyiselwa nge-PT
- Ukulukhuni ukuhamba, ukuphuma ekuhleleni, noma ukukhuphuka izitebhisi
- Ukuvuvukala kwamadolo okuqhubekayo
Indlela engcono kakhulu yokwazi ukuthi udinga ukuhlinza yini ngokusebenza eduze nodokotela wakho ohlinzayo nodokotela wezitho zomzimba wakho we-knee meniscus.
Ubuhlungu obukhulu ngenxa ye-OA kanye ne-meniscus izinyembezi kunganciphisa ikhono lakho lokwenza umsebenzi wakho ojwayelekile wansuku zonke nemisebenzi yokuzilibazisa. Uma unamahlombe emadolo kusukela ekuqothukeni kwamadoda, udokotela wakho angancoma ukuthi ubone udokotela ohlinzayo ngesimo sakho, noma angase akubhekise kumthandi wezinto ezibonakalayo. Ukucwaninga kubonisa ukuthi ungase uphinde uphinde uhambe ngendlela evamile, ungahambi kahle nobuhlungu obungokwenyama futhi ngaphandle kwesidingo sokuhlinzwa. Uma i-PT ingaphumeleli ekusizeni ukuthi ululame, ungakhetha njalo ukulandela indlela yokuhlinzwa yamadolo akho.
Ukwelapha ngokomzimba kufanele kube yinto yokuqala yokuphatha lapho ulawula ubuhlungu nokunciphisa ukusebenza okungase kufike ngamadoda e-knee. Umhlinzeki wakho angakusiza ukuthi uphinde uthole ukunyakaza okuvamile nezikhwepha futhi sikusize ukuthi ubuyele ezingeni lakho langaphambilini lomsebenzi.
> Umthombo:
> Katz, JN, et al. Ukwelashwa ngokuhambisana nokuphathwa kweMithi ye-Meniscal Tear and Osteoarthritis. N Engl J Med, 2013; 368: 1675-84.